5. Sports Medicine MCQs

A 68-year-old woman with a massive, retracted rotator cuff tear involving the supraspinatus and entire infraspinatus presents with 'pseudoparalysis' of forward elevation. In the setting of an intact subscapularis, this pseudoparalysis indicates a disruption of which biomechanical force couple?

Which of the following factors is considered the strongest predictor of a prolonged recovery (post-concussion syndrome) following a sports-related concussion?

When evaluating a patient for a rotator cuff repair, preoperative MRI is used to assess muscle quality via the Goutallier classification. Which Goutallier stage is defined as having equal amounts of fat and muscle within the rotator cuff muscle belly?

The rotator cuff interval is a triangular anatomic space in the anterior shoulder bounded by the supraspinatus superiorly, the subscapularis inferiorly, and the coracoid process medially. Which of the following structures passes through this interval?

The posterior cruciate ligament (PCL) is composed of two primary functional bundles. In which position of the knee is the anterolateral (AL) bundle of the PCL at its maximum tension?

Superior Capsular Reconstruction (SCR) is a joint-preserving surgical option for massive, irreparable posterosuperior rotator cuff tears. In this procedure, the graft is anchored medially to the superior glenoid and laterally to the:

A 28-year-old football player sustains a severe varus and hyperextension injury to his knee, resulting in a posterolateral corner (PLC) injury. Post-injury, he complains of numbness over the dorsum of his foot and an inability to dorsiflex his ankle. Which nerve is most likely injured?

Massive retraction of a supraspinatus tear medial to the glenoid rim significantly increases the risk of traction neuropathy to the suprascapular nerve. At which anatomic location does this traction most commonly tether and compress the nerve?

The acute neurometabolic cascade of a sports-related concussion begins immediately following biomechanical injury to the brain. This initial phase is characterized by an abrupt release of excitatory neurotransmitters (like glutamate) and a massive cellular efflux of which ion?

The anterior cruciate ligament (ACL) is anatomically composed of two bundles named for their tibial insertion sites. Which bundle is primarily responsible for rotational stability and is tightest in knee extension?

A 19-year-old collegiate soccer player sustains a concussion during a game. She undergoes a period of rest and is completely asymptomatic at rest 48 hours later. According to the standard graduated return-to-play protocol, what is the next step in her management?

A 25-year-old rugby player falls directly onto his flexed right knee. Examination reveals a positive posterior drawer test at 90 degrees of flexion. The dial test demonstrates 20 degrees of increased external rotation at 30 degrees of flexion, and 25 degrees of increased external rotation at 90 degrees of flexion compared to the contralateral knee. Which structures are injured?

A 35-year-old elite tennis player presents with a PASTA (Partial Articular Supraspinatus Tendon Avulsion) lesion involving 60% of the tendon footprint depth. He has failed 6 months of conservative management. What is the most appropriate surgical treatment?

A high school football player returns to play before completely resolving symptoms from a prior concussion. He sustains a seemingly minor blow to the head and rapidly collapses, progressing to a coma. This catastrophic cascade (Second Impact Syndrome) is primarily driven by:

When utilizing a bone-patellar tendon-bone (BTB) autograft for ACL reconstruction, placing the femoral tunnel too anteriorly (shallow) within the intercondylar notch will result in which of the following kinematic abnormalities?

Which of the following components of the SCAT5 (Sport Concussion Assessment Tool 5) is utilized specifically to assess an athlete's immediate memory?

A 26-year-old male presents for a revision ACL reconstruction. Preoperative CT scan demonstrates extensive femoral and tibial tunnel osteolysis, with both tunnels measuring 16 mm in diameter. What is the most appropriate next step in management?

During an arthroscopic rotator cuff repair, extensive medial mobilization of a massive, chronically retracted supraspinatus tear is required. Which neurological structure is at greatest risk of injury during this mobilization, particularly if releasing the coracohumeral ligament near the base of the coracoid?